Provider Demographics
NPI:1740933951
Name:PARADISE HEALTHCARE LLC
Entity type:Organization
Organization Name:PARADISE HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ASANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-466-6110
Mailing Address - Street 1:4343 DALE BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-2401
Mailing Address - Country:US
Mailing Address - Phone:540-783-1824
Mailing Address - Fax:540-479-3215
Practice Address - Street 1:4343 DALE BLVD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-2401
Practice Address - Country:US
Practice Address - Phone:703-783-1824
Practice Address - Fax:540-479-3215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health